Individual
MR. DALLAS ODELL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6189 ROSALIND RD, HUNTINGTON, WV 25705-2324
(304) 948-5004
(304) 948-5068
Mailing address
554 ROBY RD, HUNTINGTON, WV 25705-1603
(814) 516-6095
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
175T00000X
WV
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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